Darroch Francine, Giles Audrey, Sanderson Priscilla, Brooks-Cleator Lauren, Schwartz Anna, Joseph Darold, Nosker Roger
1 University of Ottawa, Ottawa, Ontario, Canada.
2 Northern Arizona University, Flagstaff, AZ, USA.
J Transcult Nurs. 2017 May;28(3):269-277. doi: 10.1177/1043659616634170. Epub 2016 Feb 25.
This article examines the concept and use of the term cultural safety in Canada and the United States.
To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations.
The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence.
Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety-despite not using the language.
We recommend that health care providers and health researchers consider the tenets of cultural safety.
To address health disparities between American Indian populations and non-American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.
本文探讨了加拿大和美国文化安全这一术语的概念及应用。
为研究加拿大和美国卫生组织对文化意识、文化敏感性、文化能力和文化安全的接受情况，我们查阅了医疗保健协会的立场声明/政策。
加拿大大多数选定的卫生协会在立场声明或组织政策中纳入了文化安全；然而，美国的类似组织则侧重于文化敏感性和文化能力。
通过美国印第安人复原力中心的工作，我们证明美国研究人员虽未使用文化安全这一术语，但践行了其原则。
我们建议医疗保健提供者和卫生研究人员考虑文化安全的原则。
为解决美国印第安人群体与非美国印第安人之间的健康差距，我们敦促美国采用文化安全这一术语及其原则。
